NCT03169868

Brief Summary

The purpose of this study is to evaluate the clinical utility of a decision support tool, the Patient Medication Profile(TM), developed by Sano Informed Prescribing on medication reconciliation and identification of drug-related problems in patients with serious mental illness.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
26

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Feb 2018

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 25, 2017

Completed
5 days until next milestone

First Posted

Study publicly available on registry

May 30, 2017

Completed
9 months until next milestone

Study Start

First participant enrolled

February 27, 2018

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 21, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 21, 2019

Completed
Last Updated

January 25, 2019

Status Verified

January 1, 2019

Enrollment Period

11 months

First QC Date

May 25, 2017

Last Update Submit

January 23, 2019

Conditions

Keywords

clinical decision supportdrug levels in bloodtherapeutic drug monitoringmedication adherencemedication therapy management

Outcome Measures

Primary Outcomes (1)

  • Medical record accuracy

    The "Final Medication List" (medications in EHR at final visit) will be compared to the detected medications as summarized in the Patient Medication Profile at final visit (approx 3 months). For each patient, the proportion of detected medications that are not in the medication list will be calculated, excluding OTC medications from the analysis. Medical record accuracy in the intervention and control groups will be compared.

    3 months

Secondary Outcomes (3)

  • Automated vs. manual pharmacist-led medication reconciliation

    0 months

  • Drug Related Problem Identification and resolution

    3 months

  • Adherence to prescribed medications

    3 months

Study Arms (2)

Enhanced Medication reconciliation

EXPERIMENTAL

Medication reconciliation with pharmacist using electronic health records, pharmacy dispensing data and Sano Patient Medication Profile(TM)

Diagnostic Test: Sano Patient Medication Profile

Standard Medication reconciliation

NO INTERVENTION

Medication reconciliation with pharmacist using electronic health records and pharmacy dispensing data only

Interventions

The Sano Patient Medication Profile (PMP) is a graphical report comparing prescribed medications to LC/MS/MS-detected drugs from patient blood samples

Enhanced Medication reconciliation

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Current insurer is UPMC Health Plan
  • Currently active in CRS clinic
  • Prescribed four or more medications as indicated by pre-study Health Plan Medication List
  • Able to provide informed consent for present study

You may not qualify if:

  • Not competent to give informed consent in the opinion of the investigator
  • Having had a previous medication reconciliation by the clinical pharmacist

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Western Psychiatric Institute and Clinic of UPMC

Pittsburgh, Pennsylvania, 15213, United States

Location

MeSH Terms

Conditions

Mental DisordersMedication Adherence

Condition Hierarchy (Ancestors)

Patient CompliancePatient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehavior

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 25, 2017

First Posted

May 30, 2017

Study Start

February 27, 2018

Primary Completion

January 21, 2019

Study Completion

January 21, 2019

Last Updated

January 25, 2019

Record last verified: 2019-01

Locations